| A Case of Optic Nerve Head Swelling in a Patient with Primary Open-angle Glaucoma. |
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Dong Geun Kim, Jung Lim Kim |
1Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. pcheck@hanmail.net
2Therapeutics Center for Ocular Neovascular Disease, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. |
| 원발개방각녹내장 환자에서 발생한 시신경유두부종 1예 |
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김동근1,2⋅김정림1,2 |
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인제대학교 의과대학 부산백병원 안과학교실1, 인제대학교 의과대학 부산백병원 안과질환 T2B 기반구축센터2 |
Correspondence:
Jung Lim Kim,
Email: pcheck@hanmail.net
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Received: 29 December 2016 • Revised: 20 October 2017 • Accepted: 24 November 2017 |
| Abstract |
PURPOSE
To report a case of masked glaucomatous optic nerve head damage due to acute swelling in a primary open-angle glaucoma patient. CASE SUMMARY: A healthy 21-year-old male visited our clinic complaining of blurred vision in the right eye for 1 week. The intraocular pressure (IOP) was 60 mmHg, as measured by a Goldmann applanation tonometer. No specific anterior segment finding other than severe corneal edema was found on slit lamp examination. Maximum tolerated medical therapy was performed, and a further examination was done 1 day after the IOP lowering. No glaucomatous change in the optic disc or retinal nerve fiber layer was observed on fundus examination and optical coherence tomography (OCT), but the optic disc of the right eye was more hyperemic than that of the left eye. A superonasal visual field defect was also observed using automated perimetry. After treatment, the IOP was kept within the normal range using IOP-lowering eye drops. However, an inferonasal retinal nerve fiber layer defect was observed on fundus examination and OCT, and a superonasal scotoma was detected by perimetry. |
| Key Words:
Optic nerve head swelling;Primary open-angle glaucoma |
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